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Related Person Transactions - Five Star (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Aug. 31, 2015
USD ($)
Jul. 31, 2015
USD ($)
May. 31, 2015
USD ($)
agreement
community
item
Feb. 28, 2015
USD ($)
Sep. 30, 2015
USD ($)
property
community
item
shares
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
property
item
shares
Sep. 30, 2014
USD ($)
community
Dec. 31, 2014
USD ($)
Dec. 31, 2001
Acquisition                    
Related person transactions                    
Total rental income recognized             $ 27,412      
Acquisition | Senior living communities                    
Related person transactions                    
Number of living units | item     40   3,563   3,563      
Five Star                    
Related person transactions                    
Percentage of total shares outstanding         8.60%   8.60%     100.00%
Investment in common shares | shares         4,235,000   4,235,000      
Five Star | Senior living communities                    
Related person transactions                    
Number of real estate properties leased | property         178   178      
Total rental income recognized         $ 47,828 $ 47,717 $ 143,271 $ 142,842    
Deferred estimated percentage rent payments received             4,194 4,317    
Real estate improvements purchased             16,915 23,776    
Increase or decrease in annual lease rent payable             1,361 $ 1,902    
Rents receivable         $ 15,937   $ 15,937   $ 17,310  
Number of properties acquired, referred to as managed properties     37   60   60 44    
Property management agreement expense         $ 2,717 2,438 $ 7,939 $ 7,295    
Number of separate management agreements entered for communities acquired | agreement     14              
Five Star | Senior living communities | TRS                    
Related person transactions                    
Number of private pay independent living units | item     40              
Purchase price excluding closing costs and working capital adjustments     $ 9,750              
Five Star | Acquisition | Senior living communities                    
Related person transactions                    
Number of living units | item     838              
Five Star | Sale | Senior living communities                    
Related person transactions                    
Increase or decrease in annual lease rent payable   $ (16)                
Sale price of properties under agreement to be sold $ 850 $ 155   $ 250            
Minimum annual rent payable to entity $ 85     $ 23            
D&R Yonkers LLC | TRS                    
Related person transactions                    
Sublease rental         $ 759 $ 737 $ 2,263 $ 2,197